Medical Director - Montana

Only for registered members Montana, United States

6 days ago

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Full time $174,070 - $374,920 (USD)

Job summary

We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience.

Aetna has an outstanding opportunity for a Medical Director. This is a remote work at home position.

The Primary Responsibilities include support of the appeal process, clinical claim review process, pre-certification and predetermination of covered benefits in the Commercial and Medicare environment.
  • Participate on work groups as a clinical subject matter expert to identify opportunities to improve quality and efficiency.
  • Apply clinical coding expertise to ensure alignment with Aetna policies.

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